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SAMANTHA DAVIS APRN
NPI 1124537162
Nurse Practitioner - Family in De Queen, AR

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment
415 CROOKED RD, DE QUEEN, AR 71832(111) 111-1111 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, May 26, 2026, Jun 10, 2019 and 1 more (4 updates tracked since 2017).

About Samantha Davis Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA DAVIS APRN (NPI 1124537162) is an individual family provider in De Queen, Arkansas, licensed in Oregon (10059663) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1124537162
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA DAVISCredential: APRN
Location Address415 CROOKED RDDe Queen, AR 71832-9024
Mailing Address415 Crooked RdDe Queen, AR 71832-9024
Phone(111) 111-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1124537162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 10059663✔ Licensed in AR · A005362
415 CROOKED RD, De Queen, AR 71832
Open in Google Maps ↗

Secondary Practice Location 1

Location 12710 Willamette StEugene, OR 97405-3238 · Phone (541) 640-7625 · Fax (541) 644-3477

Other Identifiers 1

Medicaid223149758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Davis Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860758554
PECOS Enrollment IDI20171114000052, I20260622000397
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Samantha Davis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Randy D. Walker, M.D., P.L.L.C.
2.6 mi
Family Medicine
1553 W COLLIN RAYE DR
De Queen, AR 71832
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Randy D Walker, MD, PLLC
  • 13 clinicians in this Medicare group
NPI 1114185121 (870) 584-3000
Nes Kentucky Inc
31 mi
Emergency Medicine
130 MEDICAL CIR
Nashville, AR 71852
  • Reassigned Medicare billing, Arkansas enrollment
  • 47 clinicians in this Medicare group
NPI 1902348048 (870) 845-4400
First Care Family Medicine-Mena PLLC
41 mi
Family Medicine
1706 HIGHWAY 71 N
Mena, AR 71953
  • Reassigned Medicare billing, Arkansas enrollment
  • 32 clinicians in this Medicare group
NPI 1619410040 (501) 625-7500
Healthstar Physicians Of Hot Springs, PLLC
53 mi
Family Medicine
2268 HIGHWAY 8 E RM 200
Norman, AR 71960
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1740368877 (Arkansas), NPI 1316279375 (Arkansas)
  • 55 clinicians in this Medicare group
NPI 1639046097 (870) 356-5741
Sky Lakes Medical Center Inc
1,587 mi
General Acute Care Hospital
2865 DAGGETT AVE
Klamath Falls, OR 97601
  • Reassigned Medicare billing, Oregon enrollment
  • 355 clinicians in this Medicare group
NPI 1659340370 (541) 274-6221
Icco LLC
1,671 mi
Urgent Care
35859 HIGHWAY 58
Pleasant Hill, OR 97455
  • Reassigned Medicare billing, Oregon enrollment
  • 190 clinicians in this Medicare group
NPI 1063806842 (541) 345-8760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
14 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,590 services$0.07 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$16.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Davis's NPI number?

The NPI number for Samantha Davis is 1124537162. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Samantha Davis located?

Samantha Davis practices at 415 Crooked Rd, De Queen, AR 71832. The listed phone number is (111) 111-1111.

What is Samantha Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Davis enrolled in Medicare?

Yes. Samantha Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Davis reassigns Medicare benefits to 6 organizations: Randy D. Walker, M.D., P.L.L.C. (De Queen, AR), Nes Kentucky Inc (Nashville, AR), First Care Family Medicine-Mena PLLC (Mena, AR), Healthstar Physicians Of Hot Springs, PLLC (Norman, AR), Sky Lakes Medical Center Inc (Klamath Falls, OR) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Davis accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Samantha Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Davis affiliated with any hospitals?

According to CMS data, Samantha Davis is affiliated with Sky Lakes Medical Center and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Samantha Davis was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.